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And 40mcg is much less than our current 1mg I cant quite tell which one is total and which one is combined but thats cool

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Persistent side effects beyond 2 weeks after a dose increase Transient nausea, mild constipation, and decreased appetite are expected and normal during the 1 to 2 weeks after each dose increase

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While some effects are noticeable immediately, others provide long-term benefits over weeks or months